<div class="pageContent">
	<form method="post" action="<?php echo site_url('backend/agent/addAdd')?>" class="pageForm required-validate" onsubmit="return validateCallback(this, navTabAjaxDone);">
		<div class="pageFormContent nowrap" layoutH="20">
			<dl>
				<dt>选择地区:</dt>
				<dd>
					<select class="combox" name="role">
							<?php foreach ($data as $al): ?>
								<option value="<?php echo  $al['id']?>"><?php echo $al['description'] . '----' . $al['address'];?></option>
							<?php endforeach; ?>
					</select>
				</dd>
			</dl>
			 <div class="buttonActive buttonActiveHover"><div class="buttonContent"><button type="submit">确定添加</button></div></div>
			 <input type="hidden" name="id" value="<?php echo $id ;?>">
	    </div>
	</form>
</div>
